Efficacy of folic acid as an adjunct to lithium therapy on manic-like behaviors, oxidative stress and inflammatory parameters in an animal model of mania

Metab Brain Dis. 2020 Feb;35(2):413-425. doi: 10.1007/s11011-019-00503-3. Epub 2019 Dec 15.

Abstract

Evaluate the efficacy of folic acid (FA) as a therapeutic adjunct to lithium (Li) on the manic-like behaviors as well as parameters of oxidative stress and inflammation in an animal model of mania induced by m-amphetamine (m-AMPH). Wistar rats first received m-AMPH or saline (NaCl 0.9%, Sal) for 14 days. Between the 8th and 14th day, rats were treated with water, Li, FA or a combination of thereof drugs (Li + FA). Manic-like behaviors were assessed in the open-field test. Oxidative stress and inflammation parameters were assessed in the frontal cortex, striatum, and hippocampus. Administration of m-AMPH in rats significantly enhanced the exploratory and locomotor behaviors, as well as the risk-taking and stereotypic behaviors. Li + FA reversed these behavioral alterations elicited by m-AMPH. Administration of this psychostimulant also increased oxidative damage to lipids and proteins, whereas Li + FA reversed these oxidative damages. m-AMPH also induced an increase in the glutathione peroxidase (GPx) activity and a decrease in the glutathione reductase (GR) activity. Li + FA reversed the alteration in GR activity, but not in GPx activity. In addition, m-AMPH increased the IL-1β and TNF-α levels in the rat brain; Li + FA combined therapy reversed the alterations on these inflammatory parameters. FA administration per se reduced the increased TNF-α content induced by m-AMPH. Present study provides evidence that FA is effective as an adjunct to Li standard therapy on manic-like behaviors, oxidative stress and inflammatory parameters in a model of mania induced by m-AMPH.

Keywords: Animal model of mania; Bipolar disorder; Folic acid; M-amphetamine.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Amphetamine / toxicity
  • Animals
  • Antimanic Agents / administration & dosage*
  • Central Nervous System Stimulants / toxicity
  • Disease Models, Animal
  • Drug Therapy, Combination
  • Folic Acid / administration & dosage*
  • Inflammation Mediators / antagonists & inhibitors*
  • Inflammation Mediators / metabolism
  • Lithium / administration & dosage*
  • Male
  • Mania / chemically induced
  • Mania / drug therapy*
  • Mania / metabolism
  • Oxidative Stress / drug effects*
  • Oxidative Stress / physiology
  • Rats
  • Rats, Wistar
  • Treatment Outcome

Substances

  • Antimanic Agents
  • Central Nervous System Stimulants
  • Inflammation Mediators
  • Folic Acid
  • Lithium
  • Amphetamine